Abstract

The anaesthesiologist who is faced with anomalies of the face is confronted with the problem of safely securing the airway. Light sedation and the fibre-optic bronchoscopic technique might be useful in the facilitation of tracheal intubation in these patients. In children with an abnormal airway anatomy, the use of a laryngeal mask airway (LMA) has been advocated to secure the airway. In our institution, however, we do not have an LMA or other advanced airway devices. In this article, we report the airway management of a child with an encephalocoele at the root of the nose who presented for surgical correction of the lesion.